Behavioral Intervention Team Peer Review: A New Model for Quality Improvement

2016 ◽  
Vol 4 ◽  
pp. 34-42
Author(s):  
Kevin Readdean ◽  
2017 ◽  
Vol 75 (2) ◽  
pp. 237-239
Author(s):  
Arthur H. Friedlander ◽  
Kate Perkins ◽  
Alan L. Felsenfeld ◽  
Lindsay L. Graves ◽  
Earl G. Freymiller

2004 ◽  
Vol 113 (6) ◽  
pp. 1760-1770 ◽  
Author(s):  
Geoffrey R. Keyes ◽  
Robert Singer ◽  
Ronald E. Iverson ◽  
Michael McGuire ◽  
James Yates ◽  
...  

2007 ◽  
Vol 28 (7) ◽  
pp. 791-798 ◽  
Author(s):  
Anucha Apisarnthanarak ◽  
Kanokporn Thongphubeth ◽  
Sirinaj Sirinvaravong ◽  
Danai Kitkangvan ◽  
Chananart Yuekyen ◽  
...  

Objective.To evaluate the efficacy of a multifaceted hospitalwide quality improvement program that featured an intervention to remind physicians to remove unnecessary urinary catheters.Methods.A hospitalwide preintervention-postintervention study was conducted over 2 years (July 1, 2004, through June 30, 2006). The intervention consisted of nurse-generated daily reminders that were used by an intervention team to remind physicians to remove unnecessary urinary catheters, beginning 3 days after insertion. Clinical, microbiological, pharmaceutical, and cost data were collected.Results.A total of 2,412 patients were enrolled in the study. No differences were found in the demographic and/or clinical characteristics of patients between the preintervention and postintervention periods. After the intervention, reductions were found in the rate of inappropriate urinary catheterization (mean rate, preintervention vs postintervention, 20.4% vs 11% [P = .04]), the rate of catheter-associated urinary tract infection (CA-UTI) (mean rate, 21.5 vs 5.2 infections per 1,000 catheter-days [P <.001]), the duration of urinary catheterization (mean, 11 vs 3 days [P < .001]), and the total length of hospitalization (mean, 16 vs 5 days [P < .001]). A linear relationship was seen between the monthly average duration of catheterization and the rate of CA-UTI (r = 0.89; P < .001). The intervention had the greatest impact on the rate of CA-UTI in the intensive care units (mean rate, preintervention vs postintervention, 23.4 vs 3.5 infections per 1,000 catheter-days [P = .01]). The monthly hospital costs for antibiotics to treat CA-UTI were reduced by 63% (mean, $3,739 vs $1,378 [P < .001]), and the hospitalization cost for each patient during the intervention was reduced by 58% (mean, $366 vs $154 [P < .001]).Conclusions.This study suggests that a multifaceted intervention to remind physicians to remove unnecessary urinary catheters can significantly reduced the duration of urinary catheterization and the CA-UTI rate in a hospital in a developing country.


2015 ◽  
Vol 193 (4S) ◽  
Author(s):  
Khurshid Ghani ◽  
David Miller ◽  
Brian Lane ◽  
Richard Sarle ◽  
Andrew Brachulis ◽  
...  

2012 ◽  
Vol 21 (12) ◽  
pp. 1034-1041 ◽  
Author(s):  
Emma-Louise Aveling ◽  
Graham Martin ◽  
Senai Jiménez García ◽  
Lisa Martin ◽  
Georgia Herbert ◽  
...  

1996 ◽  
Vol 30 (5) ◽  
pp. 653-659 ◽  
Author(s):  
Margaret Balla ◽  
Barbara Knothe ◽  
Jeanette Lancaster ◽  
Shirley Prager ◽  
Josephine Beatson

Objective: This study sought to elucidate the contribution of peer review groups involving psychiatrists to quality improvement and quality care. Method: Audio-taped interviews of groups engaged in peer review were analysed using a qualitative methodology. Participants' views of the ways in which they experienced and conceptualised peer review were explored. Results: The views of participants in peer review groups were analysed, and categories evolved which identified differences in how they perceived the structure and function of group peer review. Conclusions: Participants in the groups studied perceived peer review as a professional growth forum within a quality improvement framework providing critical review of treatment, continuing education, and a sense of collegiality. Boundaries of acceptable practice were tested and defined. At its best, participation in peer review groups enhanced reflective practice which achieved new understandings of clinical work. In this regard, peer review is seen as a highly desirable method for the maintenance of professional standards.


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